| Ohio Dental Professionals, Delisle, P.c. | |
|
200 N Fountain Ave Springfield OH 45504-2535 | |
| (937) 399-9381 | |
| Not Available |
| Full Name | Ohio Dental Professionals, Delisle, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 200 N Fountain Ave, Springfield, Ohio |
| Authorized Official Name and Position | Hillary Thull (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175408946 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ohio Dental Professionals, Delisle, P.c. 200 N Fountain Ave Springfield OH 45504-2535 Ph: () - | Ohio Dental Professionals, Delisle, P.c. 200 N Fountain Ave Springfield OH 45504-2535 Ph: (937) 399-9381 |
| NPI Number | 1801594692 |
|---|---|
| Provider Enumeration Date | 02/21/2023 |
| Last Update Date | 02/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801594692 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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